<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<title><%= title %></title>
<!-- Bootstrap -->
<link href="/stylesheets/style.css" rel="stylesheet" media="screen">
</head>
<body screen_capture_injected="true">
<div id="content">
	<h1>顺风搬家预约登记</h1>
	<form action="/bookinghandle" method="post">
		<ul>
			<li>起始地区：
				<select name="area">
					<option value="海淀区">海淀区</option>
					<option value="朝阳区">朝阳区</option>
					<option value="西城区">西城区</option>
					<option value="东城区">东城区</option>
				</select>
			</li>
			<li>所用车型：<input type="radio" name="cars"value="金杯"/>金杯<input type="radio" name="cars"value="皮卡"/>皮卡
				<input type="radio" checked="checked" name="cars" value="厢式货车"/>厢式货车
				<input type="radio" name="cars" value="1041货车"/>1041货车</li>
			<li>搬家日期：<input type="date" name="date" value=""/> </li>
			<li>联系人：<input type="text" name="user" /> </li>
			<li>联系电话：<input type="text" name="phone_head" style="width: 50px;"/>-<input name="phone_content" type="text"/> 
			</li>
		</ul>

		<input type="submit" value="预约登记" />
	</form>
</div>
</body>
</html>